GRANT MICHAEL WALLENFELSZ MD
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1194353318- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- BLDG #50 FARENHOLT AVE, AGANA HEIGHTS, GU, 96910
- Phone
- (671) 344-9340
Specialties & Taxonomies
Emergency Medicine
Primary License: TX #T3715
Emergency Medicine
License: CA #A187218
Emergency Medicine
License: GU #M-2480
All Addresses
MAILING
PSC 455 BOX 208
FPO, AP, 965400003